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NPI 1265288195 · live from the CMS NPI Registry

Minuteclinic Diagnostic Of Hawaii, LLC

Social Worker, Clinical in Kaneohe, HI. National Provider Identifier 1265288195, active.

NPI record

NPI1265288195 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location45-480 Kaneohe Bay Dr, Kaneohe, HI 96744
Practice phone855-417-2486
Mailing address1 Cvs Dr # Mc2295, Woonsocket, RI 02895
EnumeratedApril 30, 2024
Last updatedApril 30, 2024
Authorized officialDeborah Pincince, Administrator

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional101YP2500X—
Social Worker, Clinical primary1041C0700X—
Marriage & Family Therapist106H00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.